The causes of pain can be divided into three groups:
Psychosomatic, is the fear of pain caused by prejudice or negative experiences of a sexual nature. This leads to pain, as muscle contraction and movements become blocked, causing discomfort and unpleasant sensations.
Physiological, is a group of causes associated with the constitution of a woman’s body and the structure of her internal organs, the mismatch of the size of the male and female genitals and their changes as a result of diseases or injuries suffered.
Pathological, is pain caused by diseases and infections of internal organs. Here we distinguish the causes of inflammation of the urogenital system and the organs of the abdominal cavity.
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Intimate pain can also be divided into: superficial and internal.
Causes of pain during intercourse
Psychosomatic group
Here, the cause is a nervous disorder, which is associated with the transfer of psychological trauma. The following diseases are known to medicine:
Vaginismus – the involuntary contraction of the vaginal wall caused by uncontrolled fear of a gynecologist or which occurs during sexual intercourse.
Coitophobia is an obsessive phobia of sexual intercourse, which contributes to the development of anorgasmia and vaginismus.
With these disorders, due to insufficient arousal during intercourse, there is no vaginal discharge (lubrication), which leads to a real pain. Excitement may also be absent in cases of overwork, fear of becoming pregnant, or severe stress.
Physiological group
In this group, the causes of pain are characteristic of the structure of the genitals or untreated lesions.
Uterine deformities, bending, can cause discomfort or pain during sex.
Coccyx trauma, intervertebral hernia, problems with the lumbar vertebrae. If there are violations of the musculoskeletal system, it can cause tension in the pelvic tissue
Internal genital scars form in the postoperative period (appendicitis and other operations in the pelvic region) and after the treatment of inflammation in the uterus and its appendix. Scars and adhesions have less elasticity than normal tissue, so they pull and deform the healthy tissues of the abdominal cavity and vagina.
Pathological group
The following diseases are known to medicine:
Vulvitis is an infectious inflammation of the external genitalia, in which pain occurs as a result of contact of the penis with an irritated vulvar mucosa.
Colpitis is an inflammatory disease of the mucous membrane of the vagina.
Endometriosis is a disease that causes the cells of the uterine lining to penetrate other organs and tissues. The pathology can cause quite intense pain.
Endometritis is inflammation of the uterine lining, salpingoophoritis is inflammation of the uterine appendages. These diseases can also lead to pain in close proximity.
symptom
Pain may occur at different times. However, signs of pain can be detected in advance:
Sudden pain in the abdomen;
Pelvic pain;
Itching when urinating;
Pulsation in the lips during arousal;
Painful menstruation.
The pain may be during the penetration of the penis into the vagina:
Sensation of contraction;
Unpleasant friction;
Sharp pain in the right and / or left side;
Pulsating and / or spasmodic pain in the lower abdomen;
The following symptoms may occur during and after sex:
Irritation of the external genitalia, accompanied by redness;
Cystitis;
Swelling in the groin area.
If you have the above symptoms, you need an urgent consultation with a gynecologist.
Diagnostic
In order to find out the causes of pain during intercourse, it is necessary to perform a series of instrumental and laboratory studies:
General blood and urine tests;
Blood test for biochemistry;
Ultrasound of the abdominal cavity and pelvic organs;
MRI (with bone pathology);
Colposcopies;
Ultrasound of veins and vessels (to detect varicose veins).